Company

Alameda Alliance For HealthSee more

addressAddressAlameda, CA
type Form of workFull-Time
CategoryInformation Technology

Job description

Description
PRINCIPAL RESPONSIBILITIES:
The Sr Manager, Applications is responsible for the implementation, integration, upgrades, maintenance, and improvement of all applications that support the Alliance's software programs. This position is responsible for the systematic process of identifying issues, analysis, and reporting, planning and development, configuration, and training of end users to ensure standardized best practices and data integrity. This position is also responsible for establishing Business Process Automation and Release Management functions.
The Sr Manager, Applications will document and review all software system functions and configurations that they are responsible for and ensure that all processes are developed, tracked, and performed as scheduled. This position maintains audit reports and performs reconciliations to ensure accuracy between systems. This role must ensure adherence to regulatory compliance, quality, and timely handling of all systems functions for their area of responsibility.
Principal responsibilities include:
  • Responsible for implementation and on-going maintenance/changes of software systems and functionality.
  • Document and analyze business requirements needed to carry out care and utilization management programs.
  • Develop and maintain metrics to assess system and data integrity and facilitate appropriate corrections and completeness.
  • Manage and ensure that associated processes are well-understood and documented to support business and operational objectives.
  • Work with IT resources to ensure the integration of software products across systems.
  • Responsible for adherence to all regulatory compliance measures related to assigned software products.
  • Perform other duties and special projects as assigned to meet organizational needs and objectives.
  • Manage features additions, defect fixes, changes to Provider portal to meet company objectives. This includes coordination with business, IT, developers. Also responsible for weekly status updates to high level stakeholders.
  • Manage features additions, defect fixes and changes to the Member portal to meet company objectives. Coordination with project managers, business, IT, external vendors and developers is a part of this function.
  • Upgrade & Manage claims, clinical and provider applications to stay on par with current market version. Includes coordination with business, IT, vendor, and developers. Day to day operational tasks like logging defect fixes, coordination with other internal teams for validation and post to production.
  • Manage Operational and Project work with DEV and ETL teams by creating detailed internal "working" project plans for technical teams to refer to.
  • Manage all Change Requests submitted daily, check CM sheet, reassign Change Implementers as needed, update Deployment dates.
  • Provide system governance as required, work with business team leads to ensure appropriate use of each system's features
  • Perform RCA on all outages, collaborate with IT Managers on issue resolution and process improvement.
  • Manage the selection and usage of CI CD and automation testing tools.
  • Take automation first approach for establishing Business Process Automation function.
  • Responsible for establishing Release Management, Business Process Automation teams.
  • Manage Clinical Operations business team requirements and Operations.
  • Manage team Supervisors/Managers and help them create high performing teams.

ESSENTIAL FUNCTIONS OF THE JOB
  • Supervision: Hiring, training and supervising staff.
  • Technical job knowledge: Guiding team in troubleshooting technical issues, reporting metrics, set up and streamline SDLC, CI CD, Release Management and BPA functions.
  • Communications: Preparing written and verbal reports and documentation effectively and efficiently internally and externally.
  • Project management: Preparing project plans, task lists, timelines, and resource assignments. Tracking projects to ensure on time completion.
  • Teambuilding: Working with internal and external customers to build integrated multidisciplined teams.
  • Writing, reporting, administration, and data analysis.
  • Making verbal presentations.
  • Leading and participating in internal and external committees and meetings.
  • Complying with the organization's Code of Conduct, all regulatory and contractual requirements, organizational policies, procedures, and internal controls.
  • Creating weekly status reports and escalating issues to superior officer as and when required.
  • Attend change management meetings regularly to communicate and update on various defect fixes/statuses for TC application and other applications as necessary.
PHYSICAL REQUIREMENTS
  • Constant and close visual work at desk or computer.
  • Constant sitting and working at desk.
  • Constant data entry using keyboard and/or mouse.
  • Frequent use of telephone headset.
  • Constant verbal and written communication with staff and other business associates by telephone, correspondence, or in person.
  • Frequent lifting of folders and other objects weighing between 0 and 30 lbs.
  • Frequent walking and standing.

Number of Employees Supervised: 7 - 10
EDUCATION OR TRAINING EQUIVALENT TO:
  • Bachelor's degree or equivalent work experience required.

MINIMUM YEARS OF ADDITIONAL RELATED EXPERIENCE:
  • Minimum eight years of experience working in healthcare operations environment required. Payor background preferred.
  • Familiarity with managed health care operational systems required.
  • Project management experience

SPECIAL QUALIFICATIONS (SKILLS, ABILITIES, LICENSE):
  • Working knowledge of health care industry.
  • Familiarity with Member Eligibility/Enrollment processes.
  • Familiarity with Clinical Operations.
  • Ability to communicate effectively, both verbally and in writing.
  • Ability to work with diverse groups, including low-income populations, providers, board members, and staff.
  • Able to work under pressure and meet critical deadlines in a fast-moving environment.
  • Adaptable to a continuously changing environment.
  • Strong project management/operational background.
  • Strategic and forward-thinking ability to work within a broad systems perspective.
  • Strong decision making and analysis skills.
  • Strong problem solving and conceptual thinking skills.
  • Strong understanding of leveraging technological solutions to increase efficiency and effectiveness.
  • Strong interpersonal skills with ability to function in a self-directed work team.
  • Ability to work effectively in a multidisciplinary team, providing leadership, guidance, information, and stellar customer service.
  • Ability to plan and execute projects independently.
  • Excellent organizational skills and orientation to detail.
  • Continue to attend training courses related to area of expertise.

SALARY RANGE $160,989.86-$241,484.79 ANNUALLY
The Alliance is an equal opportunity employer and makes employment decisions on the basis of qualifications and merit. We strive to have the best qualified person in every job. Our policy prohibits unlawful discrimination based on race, color, creed, gender, religion, veteran status, marital status, registered domestic partner status, age, national origin or ancestry, physical or mental disability, medical condition, genetic characteristic, sexual orientation, gender identity or expression, or any other consideration made unlawful by federal, state, or local laws. M/F/Vets/Disabled.
Refer code: 8403231. Alameda Alliance For Health - The previous day - 2024-02-28 13:32

Alameda Alliance For Health

Alameda, CA
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